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Technetium-99m hexamethylpropylene amine oxime lung scintigraphy findings in low-dose amiodarone therapy   
Yazarlar (9)
C Kaya
T Ertay
Dr. Öğr. Üyesi Başak TUNA Dr. Öğr. Üyesi Başak TUNA
Kırşehir Ahi Evran Üniversitesi, Türkiye
R Bekis
C Tasci
E Sayit
O Yilmaz
A Kargi
H Durak
Devamını Göster
Özet
Amiodarone (AD)-induced pulmonary toxicity is one of the major complications of long-term AD therapy. Technetium-99m-labeled D: ,L: -hexamethylpropylene amine oxime (Tc-99m HMPAO) scintigraphy has been used to assess lung injury. We designed this study to clarify lung uptake changes of Tc-99m HMPAO using low doses of AD (5 mg/kg/day) during long-term therapy in a rabbit model. Group 1 consisted of 7 rabbits fed with AD by gavage for 6 months. To investigate the effect of ketamine on Tc-99m HMPAO uptake, 5 rabbits were included in Group 2 as a control group. Tc-99m HMPAO scintigraphy was performed in both Group 1 and Group 2 at baseline and after 2, 4, 6, 8, and 12 weeks of AD intake. After 16, 20, and 24 weeks of drug intake, Tc-99m HMPAO scintigraphy was repeated only in group 1. One-min anterior images were acquired 30 min after the injection of 37 MBq of Tc-99m HMPAO. For semiquantitative evaluation, the mean count values were obtained and lung/background and liver/background ratios were calculated. Histopathologic evaluation was performed. No increase in lung and liver uptake of Tc-99m HMPAO was found 2, 4, 6, 8, and 12 weeks after drug intake. There was no significant increase in L/B and H/B ratios of Tc-99m HMPAO in Group 1 compared with Group 2. Both scintigraphic studies and histopathologic examinations showed nonspecific changes. Longitudinal studies investigating Tc-99m HMPAO lung uptake may be planned in patients carrying risk factors for AD-induced lung toxicity.
Anahtar Kelimeler
Tc-99m HMPAO | amiodarone | lung | toxicity | inflammation
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı LUNG
Dergi ISSN 0341-2040 Wos Dergi Scopus Dergi
Makale Dili İngilizce
Basım Tarihi 04-2006
Cilt No 184
Sayı 2
Sayfalar 57 / 61
Doi Numarası 10.1007/s00408-005-2562-3